A large and enduring employment gap attaches to impairment and disability. Nevertheless, disability remains a neglected area of research in both labour economics and sociology of work when compared to other protected groups. The government has looked to health professionals (Dame Carol Black, and Sir Michael Marmot), rather than to social scientists, for policy advice, including in relation to the workplace. The Black Review charts an improvement in employment prospects for those reporting disability (1998–2007), a reversal of a prior trend. The purpose of this study is to uncover and disentangle the drivers of employment growth for those reporting disability. The effects of changes in group characteristics, some of which may be linked to an increase in the rate of ill health reporting, are considered; and also the effects of changes in the employment structure towards flexible working, the public sector and non-manual jobs. The analysis extends to 2011 to capture the effects of the recession.